Facility Evaluation Report

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced case management visit for a Plan of Correction clearance. LPA Rodgers identified herself and was allowed entry by Care Giver Josefina Pilapil. LPA met with Licensee Chen and Administrator Yasar and discussed the purpose of today’s visit.

On 8/28/2025 the facility was issued deficiencies and civil penalties (CP's) due on 08/29/2025. During today’s visit, LPA confirmed that the deficiencies were cleared.. The administrator provided documentation of medication training and LPA Rodgers verified a licensed professional they will be coming to the facility three (3) times a day to attend to the medical needs of R1. LPA also Verified all hazardous materials were locked and LPA had chemicals under bathroom sinks relocated to locked garage .

An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Licensee Zayden Chen and Administrator Yasar at the conclusion of the visit. The signature below confirms receipt of these documents.